Berry, Myra Lea

Berry, Myra Lea is an sole proprietor health care provider with primary practice located at 800 W Forrest Ave , Eufaula OK 74432-3249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Berry, Myra Lea can be contacted via phone (918) 689-2547.

Contact Information

Primary practice address
800 W Forrest Ave Eufaula OK 74432-3249
Phone: (918) 689-2547
Fax: (918) 689-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71865 Oklahoma

Profile Details

NPI number 1942504378
LBN Legal business name Berry, Myra Lea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2010
Last updated Jul 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942504378 NPPES
Oklahoma MEDICAID 200335460A

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